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Aplicación de la biología molecular en alergia a alimentos

Aplicación de la biología molecular en alergia a alimentos

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polvo, insectos, caracoles y nemátodos 45,46 . Por otra parte, se<br />

conoce <strong>la</strong> exist<strong>en</strong>cia <strong>de</strong> RC <strong>en</strong>tre moluscos, crustáceos y<br />

<strong>de</strong>terminados insectos, causada por <strong>de</strong>terminantes carbohidratados<br />

que reaccionan <strong>de</strong> forma cruzada (CCD), si bi<strong>en</strong><br />

su trasc<strong>en</strong><strong>de</strong>ncia clínica es más que dudosa 47 .<br />

Otros síndromes <strong>de</strong> reactividad cruzada<br />

Aunque <strong>en</strong> este caso no se trate <strong>de</strong> RC <strong>en</strong>tre especies<br />

distantes, convi<strong>en</strong>e m<strong>en</strong>cionar otros síndromes <strong>en</strong>cuadrados<br />

<strong>de</strong>ntro <strong>de</strong> <strong>la</strong> RC <strong>en</strong>tre aeroalerg<strong>en</strong>os y alim<strong>en</strong>tos. En primer<br />

lugar, el síndrome ave-huevo, que <strong>de</strong>staca por su trasc<strong>en</strong><strong>de</strong>ncia<br />

clínica 48 . Se caracteriza por <strong>la</strong> asociación <strong>en</strong>tre reacciones<br />

alérgicas por ingestión <strong>de</strong> huevo y <strong>alergia</strong> respiratoria<br />

por inha<strong>la</strong>ción <strong>de</strong> antíg<strong>en</strong>os <strong>de</strong>rivados <strong>de</strong> aves, si<strong>en</strong>do<br />

más frecu<strong>en</strong>te <strong>en</strong> paci<strong>en</strong>tes adultos. Se ha i<strong>de</strong>ntificado a <strong>la</strong><br />

seroalbúmina <strong>de</strong> aves o α-livetina como <strong>la</strong> responsable <strong>de</strong><br />

esta RC 49 .<br />

Del mismo modo, se ha <strong>de</strong>scrito <strong>la</strong> asociación <strong>de</strong> <strong>alergia</strong><br />

respiratoria a animales con reacciones alérgicas por<br />

ingestión <strong>de</strong> carne. Un ejemplo es el síndrome gato-cerdo,<br />

<strong>en</strong> el que paci<strong>en</strong>tes con <strong>alergia</strong> respiratoria a gato pres<strong>en</strong>tan<br />

reacciones por ingestión <strong>de</strong> carne <strong>de</strong> cerdo 50 . En éste y <strong>en</strong><br />

otros casos <strong>de</strong> reacciones cruzadas por ingestión <strong>de</strong> carnes<br />

parece estar implicada <strong>la</strong> seroalbúmina animal.<br />

REFERENCIAS BIBLIOGRÁFICAS<br />

1. Bernhisel-Broadb<strong>en</strong>t J. Allerg<strong>en</strong>ic cross-reactivity of foods and<br />

characterization of food allerg<strong>en</strong>s and extracts. Ann Allergy Asthma<br />

Immunol 1995; 75: 295-303.<br />

2. Pastorello EA, Incorvaia C, Pravettoni V, Orto<strong>la</strong>ni C. Crossreactions<br />

in food allergy. Clin Rev Allergy Immunol 1997, 15; 415-427.<br />

3. Comité <strong>de</strong> Reacciones Adversas a Alim<strong>en</strong>tos. Metodologia diagnóstica<br />

<strong>en</strong> <strong>la</strong> <strong>alergia</strong> a alim<strong>en</strong>tos. Rev Esp Alergol Inmunol Clin<br />

1999; 14: 50-62.<br />

4. Musmand JJ, Daul CB, Lehrer SB. Crustacea allergy. Clin Exp<br />

Allergy 1993; 23: 722-732.<br />

5. Shanti KN, Martin BM, Nagpal S, Metcalfe DD, Rao PV. I<strong>de</strong>ntification<br />

of tropomyosin as the major shrimp allerg<strong>en</strong> and characterization<br />

of its IgE-binding epitopes. J Immunol 1993; 151: 5354-5363.<br />

6. Leung PS, Chow WK, Duffey S, Kwan HS, Gershwin ME, Chu<br />

KH. IgE reactivity against a cross-reactive allerg<strong>en</strong> in crustacea and<br />

mollusca: evi<strong>de</strong>nce for tropomyosin as the common allerg<strong>en</strong>. J<br />

Allergy Clin Immunol 1996; 98: 954-961.<br />

7. <strong>de</strong> Martino M, Novembre E, Galli L, <strong>de</strong> Marco A, Botarelli P, Marano<br />

E, Vierucci A. Allergy to differ<strong>en</strong>t fish species in cod-allergic<br />

childr<strong>en</strong>: in vivo and in vitro studies. J Allergy Clin Immunol 1990;<br />

86: 909-914.<br />

8. Helbling A, Hay<strong>de</strong>l R Jr, McCants ML, Musmand JJ, El-Dahr<br />

J, Lehrer SB. Fish allergy: is cross-reactivity among fish species<br />

relevant? Double-blind p<strong>la</strong>cebo-controlled food chall<strong>en</strong>ge studies<br />

of fish allergic adults. Ann Allergy Asthma Immunol 1999; 83:<br />

517-523.<br />

Repercusión clínica <strong>de</strong> <strong>la</strong> reactividad cruzada<br />

9. Pascual C, Martín Esteban M, Crespo JF. Fish allergy: evaluation<br />

of the importance of cross-reactivity. J Pediatr 1992; 121: S29-34.<br />

10. Hans<strong>en</strong> TK, Bindslev-J<strong>en</strong>s<strong>en</strong> C, Skov PS, Pouls<strong>en</strong> LK. Codfish<br />

allergy in adults: IgE cross-reactivity among fish species. Ann Allergy<br />

Asthma Immunol 1997; 78: 187-194.<br />

11. Bernhisel-Broadb<strong>en</strong>t J, Sampson HA. Cross-allerg<strong>en</strong>icity in the<br />

legume botanical family in childr<strong>en</strong> with food hypers<strong>en</strong>sitivity. J<br />

Allergy Clin Immunol 1989; 83: 435-440.<br />

12. Martínez San Ir<strong>en</strong>eo M, Ibañez Sandín MD, Femán<strong>de</strong>z-Caldas E.<br />

Hypers<strong>en</strong>sitivity to members of the botanical ar<strong>de</strong>r Fabales (legumes).<br />

J Investig Allergol Clin Immunol 2000; 10: 187-199.<br />

13. Sánchez-Monge R, Pascual CY, Díaz-Perales A, Fernán<strong>de</strong>z-Crespo<br />

J, Martín Esteban M, Salcedo G. Iso<strong>la</strong>tion and characterization of relevant<br />

allerg<strong>en</strong>s from boiled l<strong>en</strong>tils. J Allergy Clin Immunol 2000;<br />

106: 955-961.<br />

14. Ewan PW. Clinical study of peanut and nut allergy in 62 consecutive<br />

pati<strong>en</strong>ts: new features and associations. BMJ 1996; 312:<br />

1074-1078.<br />

15. Pastorello EA, Pompei C, Pravettoni V, Br<strong>en</strong>ua O, Farioli L, Trambaioli<br />

C, Conti A. Lipid transfer proteins and 2S albumins as allerg<strong>en</strong>s.<br />

Allergy 2001; 56 (Suppl 67): 45-47.<br />

16. Pastorello EA, Orto<strong>la</strong>ni C, Farioli L, Pravettoni V, Ispano M, Borga<br />

A, B<strong>en</strong>gtsson A, Incorvaia C, Berti C, Zanussi C. Allerg<strong>en</strong>ic crossreactivity<br />

among peach, apricot, plum, and cherry in pati<strong>en</strong>ts wim<br />

oral allergy syndrome: an in vivo and in vitre study. J Allergy Clin Immunol<br />

1994; 94: 699-707.<br />

17. Fernán<strong>de</strong>z-Rivas M, van Ree R, Cuevas M. Allergy to Rosaceae<br />

fruits without re<strong>la</strong>tad pollinosis. J Allergy Clin Immunol 1997; 100:<br />

728-733.<br />

18. Sánchez-Monge R, Lombar<strong>de</strong>ro M, García-Selles FJ, Barber D,<br />

Salcedo G. Lipid-transfer proteins are relevant allerg<strong>en</strong>s in fruit<br />

allergy. J Allergy Clin Immunol 1999; 103: 514-519.<br />

19. Gómez L, Martín E, Hernán<strong>de</strong>z D, Sánchez-Monge R, Barber V,<br />

<strong>de</strong>l Pozo V, <strong>de</strong> Andrés B, Arm<strong>en</strong>tia A, Lahoz C, Salcedo G, et al.<br />

Members of the alphaamy<strong>la</strong>se inhibitors family from wheat <strong>en</strong>dosperm<br />

are major allerg<strong>en</strong>s associated with baker's asthma. FEBS Lett<br />

1990; 261: 85-88.<br />

20. Palosuo K, Al<strong>en</strong>ius H, Varjon<strong>en</strong> E, Kalkkin<strong>en</strong> N, Reuna<strong>la</strong> T. Rye<br />

gamma-70 and gamma-35 secalins and barley gamma-3 hor<strong>de</strong>in<br />

cross-react with omega-5 gliadin, a maior allerg<strong>en</strong> in wheat-<strong>de</strong>p<strong>en</strong><strong>de</strong>nt,<br />

exercise-induced anaphy<strong>la</strong>xis. Clin Exp Allergy 2001; 31: 466-473.<br />

21. Vallier P, DeChamp C, Val<strong>en</strong>ta R, Vial O, Deviller P. Purification<br />

and characterization of an allerg<strong>en</strong> from celery immunochemically re<strong>la</strong>ted<br />

to an allerg<strong>en</strong> pres<strong>en</strong>t in several other p<strong>la</strong>nt species. I<strong>de</strong>ntification<br />

as a profilin. Clin Exp Allergy 1992; 22: 774-782.<br />

22. Vuitton DA. Allergic crossreactions. G<strong>en</strong>eral and practical aspects.<br />

Clin Rev Allergy Immunol 1997; 15: 367-374.<br />

23. Kazemi-Shirazi L, Pauli G, Purohit A, Spitzaner S, Froschl R,<br />

Hoffmann-Sommergruber K, Breit<strong>en</strong>e<strong>de</strong>r H, Scheiner O, Kraft D, Val<strong>en</strong>ta<br />

R. Quantitative IgE inhibition experim<strong>en</strong>ts with purified recombinant<br />

allerg<strong>en</strong>s indicate poll<strong>en</strong>-<strong>de</strong>rived allerg<strong>en</strong>s as the s<strong>en</strong>sitizing<br />

ag<strong>en</strong>ts responsible for many forms of p<strong>la</strong>nt food allergy. J Allergy Clin<br />

Immunol 2000; 105: 116-125.<br />

24. Orto<strong>la</strong>ni C, Ispano M, Pastorello E, Bigi A, Ansaloni R. The oral<br />

allergy syndrome. Ann Allergy 1988; 61: 47-52.<br />

25. Dreborg S, Foucard T. Allergy to apple, carrot and potato in childr<strong>en</strong><br />

with birch poll<strong>en</strong> allergy. Allergy 1983; 38: 167-172.<br />

26. Ebner C, Hirschwebr R, Bauer L, Breit<strong>en</strong>e<strong>de</strong>r H, Val<strong>en</strong>ta R, Ebner<br />

H, Kraft D, Scheiner O. I<strong>de</strong>ntification of allerg<strong>en</strong>s in fruits and<br />

vegetables: IgE cross-reactivities with the important birch poll<strong>en</strong><br />

allerg<strong>en</strong>s Bet v 1 and Bet v 2 (birch profilin). J Allergy Clin Immunol<br />

1995; 95: 962-969.<br />

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